Review of the pregnancy outcome of mother with advanced maternal age in Hospital Sultanan Aminah, Johor Bahru From 2017-2018
Objective: To investigate the association between advanced maternal age and adverse pregnancy outcomes. Study method: A cross-sectional study comparing 239 advanced maternal age mother (≥35 years old) and a control group of 239 pregnant mothers aged 20–34, delivering at Hospital Sultanah Aminah...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2020
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| Subjects: | |
| Online Access: | http://eprints.usm.my/60705/1/Tan%20Yi%20Ping-E.pdf |
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| Summary: | Objective: To investigate the association between advanced maternal age and
adverse pregnancy outcomes.
Study method: A cross-sectional study comparing 239 advanced maternal age
mother (≥35 years old) and a control group of 239 pregnant mothers aged 20–34,
delivering at Hospital Sultanah Aminah in Johor from 2017 through 2018. Each of
these groups was further analysed depending on parity (nulliparity and multiparity).
Demographic background and pregnancy outcomes were compared between the
groups.
Result: The mean age of study group and Controls was 37.48 ± 2.226 years and 28.21
± 3.610 years, respectively. Advanced maternal age was associated with higher parity
and pre-existing medical illness. Advanced maternal age was significantly associated
with higher incidence of anaemia. Those nulliparity mother with advanced maternal
age had increased risk of exposure to lower Apgar scores (≤4 at 1 minute) by 14.75
compared to Controls. There were no significant differences between the two age
groups in the incidences of other adverse obstetric outcomes and perinatal outcomes.
Conclusion: We observed that maternal anaemia was associated with advanced
maternal age and a low Apgar score at 1 minute is an independent risk factor for
advanced maternal age nulliparity. Otherwise, this study demonstrated that the the
reproduction beyond the age of 35 years is not associated with any significant
maternal, delivery and perinatal complications. Overall, the study showed that the outcome of pregnancy with advanced maternal age is comparable to the control
group. |
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